(a)

1. (1) All facilities will continue to provide ongoing in-service training on a routine basis both in groups and as necessary in specific situations on a one-to-one basis.
2. (2) Each nursing assistant must receive one (1) hour of in-service training per month.

(b)

1. (1) The facility must complete a performance review of each nursing assistant at least once per year and provide regular in-service training based on the outcome of these reviews.
2. (2) The in-service training should address areas of weakness and be sufficient to ensure the continuing competence of the nursing assistants.

(c)

1. (1) In addition to training needs identified by performance reviews, in-service training should also address the special needs of residents as determined by each facility.

2. (2) Training can be received on the unit, as long as it is:

   1. (A) Directed toward skills improvement;
   2. (B) Provided by appropriately trained staff; and
   3. (C) Documented, for example, skills demonstration with return demonstration recorded on a check list.

(d)

1. (1) Effective July 1, 2006, facilities are strongly encouraged to offer in-service training for nursing-home-employed certified nursing assistants who were certified in Arkansas prior to July 1, 2006, that covers the Barbara Broyles Alzheimer and Dementia Training that is included in the Arkansas Long-Term Care Facility Nursing Assistant Training Curriculum.

2. (2)

   1. (A) Facilities should maintain records that verify each employee who was certified in Arkansas prior to July 1, 2006, has received this training.
   2. (B) After July 1, 2006, and ongoing, the new Alzheimer’s training is strongly encouraged for certified nursing assistants registered in Arkansas through reciprocity from other states and test candidates who are allowed to challenge the state competency test based on exemptions found in 20 CAR § 403-504.